- About SHS
- Clinical Services
- Prevention & Wellness
- Survivor Care & Advocacy
- Fees, Insurance & Forms
The State of Oregon and Oregon State University require the submission of a completed health history form and proof of specific vaccinations, or proof of immunity. Please download the form that applies to you below, complete it electronically and fax it to Student Health Services at 541-737-9665.
Upon admission to OSU College of Veterinary Medicine, this form must be completed and submitted to receive medical clearance. This form is in addition to the general health history form you must complete before your first term at OSU, and is just one part of the required documentation for Veterinary Medicine students (Word doc).
You may receive a copy of your records, or you may have a copy forwarded to your personal healthcare provider, by completing the Consent/Authorization to Disclose Medical Records form. You may also use this form to request immunization records from a prior school or clinic to satisfy the OSU requirements.
A specific release allowing for sharing of information between OSU Counseling and Psychological Services (CAPS), and Student Health Services. Please initial all appropriate areas.
This is a form allowing for OSU Counseling and Psychological Services (CAPS) and Student Health services to share information specifically for nutritional information with OSU's Body Image Lifestyle Choices Exercise Nutrition Disordered Eating (BLEND) team. Please initial all appropriate areas.
An advance directive is a set of instructions that explain the specific health care measures a person wants if he or she should have a terminal illness or injury and become incapable of indicating whether to continue curative and life-sustaining treatment, or to remove life support systems. If there are any questions about this form, please contact Medical Records.
Advance Directive Form (PDF)